Ms. Kong, who is only 28 years old, and Mr. Zhao, who is only 34 years old, have experienced the danger brought by the flu and were once hovering on the edge of life and death.
Recently, although there have been two successful rescue experiences, the medical staff of the emergency medicine department of Xinhua Hospital affiliated to Shanghai Jiao Tong University School of Medicine still have palpitations, and they issued a special reminder: young and middle-aged people must not underestimate small diseases, and do not let the body easily "carry" fever, cough and other symptoms, and take every discomfort and alarm seriously in the body.
Ms. Kong (pseudonym), who was only 28 years old, developed chest tightness and high fever a day later due to strenuous activities, and came to the emergency department of Shanghai Xinhua Hospital for treatment. However, her condition deteriorated rapidly, and her heart function deteriorated rapidly, with clammy cold, cardiogenic shock, and heart pump failure. Soon, ventricular fibrillation occurred on ECG monitoring, and respiratory and cardiac arrest occurred......
Gao Chengjin, director of the emergency medicine department of Shanghai Xinhua Hospital, and Ge Qinmin, deputy director of the department, immediately led the doctors on duty to give the patient a series of rescue measures such as cardiopulmonary resuscitation, electrical defibrillation, and tracheal intubation, but Ms. Kong was never successfully resuscitated, and her life was on the line.
“ECMO！” Attending physician Li Yongde first successfully implanted a temporary pacemaker, and Deputy Chief Physician Chen Liang and the hospital's ECMO team were immediately in place to quickly complete the femoral vein and femoral artery catheterization and start VA-ECMO.
A miracle happened, and that afternoon, Ms. Kong opened her eyes and made a commanding movement. After 5 days of close monitoring and guarding, the patient's cardiac function was fully recovered, the ECMO was successfully removed, and the patient has passed the cerebral resuscitation, AKI, and wound infection barriers, and his condition is stable and is in further recovery.
Extracorporeal membrane lung is a kind of improved artificial heart-lung machine, which plays the role of artificial lung and artificial heart through membrane lung and extracorporeal centrifugal pump respectively, which is currently an advanced life support means for cardiopulmonary failure, and is the last line of life defense to maintain the lives of critically ill patients.
A similar rapid change in his condition has occurred in Mr. Zhao, 34. He sought medical treatment with fever with cough, phlegm and shortness of breath, and originally wanted to go to the outpatient clinic, but on the way, he developed shortness of breath and was rushed to the emergency room of Xinhua Hospital. At this time, his blood pressure was low, his blood pressure was still difficult to maintain despite the continuous pumping of high-dose vasopressor drugs, and the partial pressure of arterial oxygen was still maintained at a low level under the condition of endotracheal intubation and prone ventilation supported by high-parameter ventilators, and the bedside chest x-ray showed "great white lung".
Chen Liang, deputy chief physician of the Department of Emergency Medicine of Xinhua Hospital, considered that Mr. Zhao had acute respiratory distress syndrome caused by severe pneumonia.
Gao Chengjin, director of the Department of Emergency Medicine, once again led the ECMO team to work together to personally complete the femoral vein and right internal jugular vein catheterization and start VV-ECMO. The "magic lung" worked immediately again, and within a few minutes of getting on the plane, Mr. Zhao's blood oxygen saturation quickly rose. After careful treatment by the emergency department, Mr. Zhao's respiratory failure symptoms gradually improved, his vital signs stabilized, and ECMO was successfully removed. The placement of VV-ECMO has saved a glimmer of life for patients, but there are still a series of challenges in the future.
Mr. Zhao's battle lasted for more than 40 days, and he experienced severe prolapse of the posterior mitral valve, internal environment disorders, kidney failure and other problems, and finally gradually improved the heart, liver, kidney, blood coagulation and immune function, and his nutrition was effectively supported. Under the meticulous treatment and care of the medical team, Mr. Zhao gradually improved and was successfully discharged from the hospital.
Ge Qinmin, deputy director of the emergency medicine department of Xinhua Hospital, said that young and middle-aged people should not believe in their own physical foundation. "We have also found in the clinic that some young and middle-aged patients have reached the standard of admission to the hospital, but they still insist on going back to work because of work pressure or because they believe that they can bear it."
The successful treatment of the two young people benefited from the seamless connection between the emergency room and the emergency ICU for the accurate judgment and treatment of the critically ill patients, and the use of ECMO to buy valuable time for the recovery of cardiopulmonary function of critically ill patients and save the two families.
Ge Qinmin said: "I hope that the workplace can make way for health, so that the backbone of society can work better and live better." ”